LATEST COLOUR

PHOTO OF THE

l]LIC
~ ~ 14)-l'fl ~
urr lll!IJPlNC[ COPPORATION Of !NOil
FORM NO. 300 (Rev 2021)
PROPOSAL FOR INSURANCE ON OWN LIFE
(Not be used for Insurance 9n the lives of minors)
LIFE TO BE
ASSURED

Division: Branch Office:

INSTRUCTIONS TO LIFE TO BE ASSURED
1. This form is to be completed in BLOCK LETTERS by the Life to be Assured.
2. This form contains 4 sections namely Section I: Details of Life to be assured Section II: Proposed Plan, Section Ill: Details of
personal and family health and habtts Section IV : Declaration
3. Please read all the questions carefully and fill up the details truthfully.
4. Please ensure that you affix your signatures in all the places as required. In certain places more than one signature is required.
This is in your own interest.
5. If the Life to be Assured signs this proposal in vernacular or puts his/her thumb impression upon tt, then the respective
declaration must be completed.
6. Answers should be legible. Questions should be answered in 'Yes' or 'No'. (Strokes/ dots/ dashes I leaving the questions
unanswered will not be accepted). Details need to be provded in case of affirmative answers.
7. The Life to be Assured must countersign any cancellation or alterations made in this form. White ink must not be Used

To be filled by agent:
1. D.0./CLIA Code No/ Mentor code & Mobile number :
2. Agent's/Specified Person's/DSE's/Sup Agent's Name ,Code No & Mobile number:
3. Licence No:
4. Date of Expiry:
For Office Use Only :
Inward no: Date
Proposal no : Amt of Deposit : 8.0.C No: Date:

Section -1 : Details of the Life to be assured

I.Personal Details
1 Name Prefix First Nam~e Middle Name Last Name
~./Mrs./Ms/Mx.: Mo~ -:r~uv
2 Father's Full name Mnt..~-,d 5h11 t:a
3 Mother's Full Name 50,..vl, II ,j_ & p(iy\.Ue. J ,,~ h,. L/a
Mafe / Fe'lnale / Third Gender I r
4 Gender -·-
5 Marital Status ~ it'\al1
u
6 Spouse's Full name
\ 7 Date of Birth ~ t, I o i- I '2--0Q 1.-
8 Age** z_ 7- Years
.. Depending upon the plan condttons, Age last birthday/Age nearer birthday shall be applied for the calculation of premium
9 Place/ City of Birth \3P I J "Y\I
10 Nature of Age Proof d
Submitted
11 Nationality \.,. -.l ,'n V\
12 Citizenship
13 Correspondence Address
House No. 14
City/ Town/ Villaoe Se..n..Qh lv v-u
District & State <J Va.Y'vi" ~I\ I n
Country \..., J/1\.
PIN Code s-~oo~ <J
Tel. No. with STD Code t-9 I 1-0i.'2.- b 5'5' z..q ~
14 Permanent Address
House No. 4000 /,1, A
City/ Town/ Village Do..\/A1A t1 pit'(_
District & State K /'}YV\" t- ~ ,~ ..
Country '"' J •• n,
PIN Code ~':f 'f-00 ~
Tel. No. with STD Code +g1 :t:Qi.1..6s1 zg 8
1
 ----

I 15 Residential status Re si~ lnd ian / Non ~es ide

nt Indian/ Foreign National of Indian Ori gin /
Overseas Citizen of India
16 Address outside lndla ( Applicable onl
y for NRI/FNIO/ OCI)
House No.
City/ Town/ Village
District & State
Country
PIN Code

II KYC& PMLA
/
1 Are you Income Tax
~N
Assessee
2 PAN Number
3 ID details( to be answered only GtC,~ PM Oc;-l\.3A
if PAN card copy is not sub
* In case of Aadhaar only mitted)
last four digits is to be given
Proof of Identity as Id number
ID number *
Expiry date of id
4 Address Proof Submitted
5 Are You Registered under
GST, if yes give GSTIN :
6 C KYC number ( Central
KYC Registry)

Ill Occupation
1 Educational qualification
2 Present Occupation ~() (lu V\v cJr b a i 'if\J OY\
0

3 c,..o\ J .. ~ u ~ ;!-i o o v (J
~

Source of Income \
<J
4 Nam e of the present Trv l. (J
employer
5 Exact Nature of duties
i. N v..\,e.,
6 Length of service
7 Annual Income
8 To be answered if employe b L-PA
d in the Armed Forces
a Win g to which you belong
b Rank therein
C Date of last Medical
Examination
d Medical category after
medical examination
e We re you ever below A-1
category? If so, when?

IV Others
1 Is your occupation associated
with any specific hazard or
tak e part in hazardous activitie do you
s or have hobbies that could
dangerous in any way? If yes be
, give details and submit
respective que stio nna ire.
2 Have you ever been or are
currently being investigated,
sheeted, prosecuted or con charge
victed or having pending cha
respect of any criminal/civil rges in
offences in any court of law
or abr oad ? If yes, give details in India
.
3 Are you a Politically Expose
d Person OR are you a fam
member or close relative of ily
Politically Exposed Person?
[As per RBI guidelines PEP
s are the individuals who are
been entrusted with promin or have
ent public functions in a fore
country.} ign

2
I
I
I
I

V Existing Insurance: Please give details of your previous insurance t k

insurers (including policies surrendered/ lapsed during lc;\st ye ) a en from LIC as well as from other
3
Note: 1. If space is not sufficient for all existing policies leas ars .
be duly sig~ed by the life to be assured 'P e use separate sheet in the same format . it must
2. Corporation normally does not entertain any fresh pro sal f ·
been converted into paid up policy within the last 3 yearr or insurance where a policy has lapsed or has
1 Policy Number
2 Name of the Insurer/
Division/ Branch
3 Plan and Term
4 Sum assured
5 Term Rider Sum
Assured
6 Cl Rider Sum Assured
7 AB/ ADDS Sum
assured
8 Date of Commencement
9 Date of Revival
10 Whether accepted at
ordinary rate, if not give
details
11 Medical/ Non medical
12 Whether lnforce
13 If not , Date of FUP/
Date of surrender
14 Has a proposal ( or an application for revival of a policy) on your life made to Yes/No Details
any office of the Corporation or to any other insurer ever been
a Withdrawn, Deferred, Dropped or Declined?, if yes give details.
b Accepted with extra Premium or Lien?, if yes give details.
C Accepted on terms other than those proposed?, if yes give details.
d Have you during the past one year returned any policy of the Corporation as
the same was not acceptable to you?, if yes give details.

VI Details of Nominee and appointee (It is in the interest of the life to be assured to avail the facility of nomination)
Name and address of % Age Relationship If Nominee is Relationship Appointee's
Nominee share with the life to minor to the signature as a
be assured appointee's full nominee token of
name, age and consent
address

Id proof of Nominee/
Appointee
Id Number

VII Bank Details

Bank Account details: ~
a) Type of Account-Sav· gs I Current:
b) Your Account No : I P> l-f;19 S 6
c) MICA Code:
d) IFS Code: \.\otcc., 51-~
e) Name and Address of your bank: \,lD[L.- ~ k . Tff'-1~
Attach a photocopy or cancelled cheque with the form

Mobile number of the life to be assured: -t-q I -:fO 2-"'l--b ~G'.2-'l ~

E mail id of the life to be assured: t;'\,,.,.A ... ,'J
\ . ' v l ( ) ~ ~av~;;-~a"'--..vl. m-M •

Signature/ Thumb impression of the life to be assured

3

Ar"
 Section-II Proposed Plan

Ob'ective of Insurance Savin I Risk Cover/ Savin and Risk Cover

II Whether proposal is under (please tick Individual life I Employer- Employee Scheme /HUF /MWP ..
relevant options)
questionnaire/ annexur e/supporting
** Note: If proposal is not under individual life, please submit relevant
documents along with the proposal form

plan as per the Plan conditions

111 Please Tick the Riders which you want to avail along with the base

1. LIC's New Term Assurance Rider [2{'

~
2. LIC's New Critical Illness Benefit Rider
3. LIC's Premium Waiver Benefit Rider CE['
~
4. LIC's Accident Benefit Rider (AB)
OR
LIC's Accidental death and Disability benefit Rider (AD&DB) D

( Riders are subject to availability

IV Plan , Sum assured and Rider selected by the Life to be assured
under the selected plan)
Accident If policy is to
a Plan, Term Sum Mode of Premium Term Rider Critical dated back
Sum illness sum benefit sum be
& Premium Proposed Payment
/Qly/ SSS propose d propose d (if propose d (if indicate date
paying Term (Basic Sum (Yly/Hly
Assured) /NACH/ Single) (if opted) opted) opted)

ioooooo
~~to Police Personnel if LIC's
LJ~
Accident Benefit Rider/ LIC's Accidental
b Applicable
Death And Disability Benefit Rider is opted for :

Whether you are engaged in police duty in any police organization other
YI!/
i.
than paramilitary force?lf "Yes",
police duty? Y/bY
ii. Whether you wish to avail the AB/AD& DB rider while on
C For SSS Policies :
i. Paying authority code and Dept No
ii. Badge or SR No
Benefit Rider " in case of insurance on
To be answered only if proposing for "LIC's Premium Waiver
v.
Minor Life
of premiums payable under the Base Policy falling
Premium Waiver Benefit under this rider shall be equal to waiver
expiry of rider term.
due on and after the date of death of Proposer till the
s in respect of any riders, if opted for, other than this rider under the base policy shall not be waived
However, premium
and continue to be paid as per respecti ve rider conditions.
term all the premiums due under the base policy
Further if premium paying term of the base policy exceeds the rider
Waiver Benefit Rider" shall be payable by the Life Assured as per the
from the date of expiry of "LIC's Premium
terms and conditions of the Base policy.

Do you agree with the above No W

Note: Proposal shall be considered for LIC's Premium Waiver Benefit Rider only , if your answer to the above
question is "Yes"

" or " LICs Aadhaar Shila"

VI. To be answered only if proposing under "LIC's Aadhaar Stambh
ration) sum assured under LIC's Aadhaar
a. Total existing (excluding the proposal under conside
Shila/ LIC's Aadhaa r Stambh : -----
b. Is your life being proposed simultaneously under the same plan? Yes/No.
If "Yes", give details : _ _ _ __
r Shila on an Individual should not
Note: The total Sum Assured under LIC's Aadhaar Stambh or LIC's Aadhaa
exceed Rs.31a khs.

4
 .J

VII. To be answered only if applicable as per Plan specifications and for Jeevan Amar

a. Under which category do you wish to apply? (Tick one of the following):
i) Smoker D I
Non- Smoker D
ii)

Note: Non- smoker rates will be offered only on the basis of findings of Urine Cotinine Test.
I
ticking (,,I)
b. Questjon regardjng Death Benefit: Please select one of the options for Sum Assured on Death (by
in the appropriate box) depending upon your specific needs:
Option I: "Level Sum Assured", where Sum Assured on Death shall be an ar:nount equal to Basic Sum I
Assured and shall remain constant throughout policy term. ---- - - -

Option II: "Increasing Sum Assured", where Sum Assured on Death shall remain equal to Basic Sum
Assured till completion of fifth policy year. Thereafter, it increases by 10% of Basic Sum Assured each
year from the sixth policy year till fifteenth policy year till it becomes twice the Basic Sum Assured.
This increase will continue under an inforce policy till the end of policy term; or till the Date of Death;
or till the fifteenth policy year, whichever is earlier. From sixteenth policy year and onwards,
the Sum Assured on Death remains constant i.e. twice the Basic Sum Assured till the policy term ends.

VIII Simultaneous Proposals ,,

a Is your life now being proposed for another assurance or an application Yl)l
for revival of a policy on your life or any other proposal under
consideration in any office of the Corporation or to any other insurer?
If yes, give details

b Whether proposed simultaneously on the life of spouse and children? If YI)(

yes, give details

IX Settlement tion As r Ian conditions

Do you wish to avail "Option to take Maturity Benefit in Instalments"_:_ t-e.) /No
Do you wish to avail "Option to take Death Benefit In Instalmen ts":~ No
If 'Yes', Kindly fill the addendum which forIT1s a part of the proposal form.

Note: You will have the option of altering the mode of receipt of payment of claim from lumpsum to
instalment and vice versa durin the ollc duration till the oint of claim.

X Are you registered with UC Portal:)'7N

If yes, give Customer ID l O1- j S" ~
If not, Please visit our site www.licindia.in and register yourself with UC Portal after completion of this proposal
to avail the benefit of e services.

Signature/ Thumb impression of the life to be assured

Section- Ill; Personal and famuy details of health I habits

I Personal Health
a Please state exact height ( in ems) and weight ( in Kgs) ( without Height Weight
shoes)
~
I 83 35
b ~uring the l~~t five years did you consult a Medical Practitioner for any
Yl!:Y
ailment requinng treatment for more than a week ? If yes, give details /
C
Have you ever been admitted to any hospital or nursing home for YIJ'
gen~ral check up, observation, treatment or operation? If yes , give
details
d J

~a~e you remained absent from place of work on grounds of health YI

unng th e last 5 years? If yes, give details

5
 tion in the past or have you been
ever suffered or undergone investiga
e Are_ you suffering fr~m or ~av~ you wing ailm ents:
treatment for the follo
advised to undergo investIgat1on or Diseases Y/N
Diseases V/N c fever,
2. Hypertension, Hyp oten sion , rheu mati
t
1. Lungs/ Respiratory Disease/ Persisten ing N pain in chest, breathlessness, palpitation,
any rJ
h, asth ma, bron chitis, pneu mon ia, spitt
coug disease of the heart or arteries?
i of blood etc 4. Any disease of kidney /prostate or
urinary
I
l
3. Peptic ulcer/colitis, jaundice, anae
dysentery, or any other disease of the
stomach, liver, sple en,
pancreas/ digestive disorder
gall blad der or
mia, piles,
N syst em?

la, varicose
tJ
'
J
6. Hernia/hydrocele, varicocele, fistu
5. Paralysis/epilepsy/ insanity/ tremors, veins, ,filariasis, gono rrhoe a, syph ilis or any
ing
numbness, double vision, dizzy or faint N othe r vene real dise ase?
spells/ head Injury/ insomnia/ nervous
kdow n/ any othe r dise ase of the brain or
brea
the nervous system 8. Any disease of ear, nose, throat or
eyes,
our/ cyst/
7. Cancer/leukemia/lymphoma/ tum t,.l including defe ctive sigh t or hear ing and
rder
Any other growth/ lumps/ blood diso discharge from the ears
/enlarged glan ds ritis
etes, 10. Bone I Joint! Spine Disease/ Arth
9. Endocrine disorders such as Diab
passed
Goitre, Thyroid etc or have you ever
albu min, pus or bloo d in urine / pleurisy I ~ I
suga r, 12. Chronic infections- Tuberculosis
• 11. Mental Disorder (Depression/ Anxi
ety,
tJ Skin Disease/ skin eruption/ Leprosy. ~
y/ any bodily N
etc.).
condition N 14. Any Operation, accident or injur
13. Hepatitis or AIDS & HIV related defect or deformity .

15. Any other disease? ils as below ( If hospitalized ,

any of the questions mentione d in 'e' above is yes, please give deta
If answer to proposal form.)
all investiqation papers along with the
f
enclose the discharge summary and Still on treat ment (Y/N), If Name and address
dise ase / Date of Fully recovered of Doctor/ Hospital
Nature of (Y/N) Yes give details of
illness Diagnosis men t
treat

II Personal Habits Y/ft,' If yes, quantity If stopped,

ever smoked/consumed the
Do you smoke/consume or have you consumed and duration since how many
following (a,b,c) months
N
a. Alcoholic drinks N
b. Narcotics N
C. Any other drugs, If yes, which one
smoked/consumed
d. Do you smoke/ consume or have you ,-J
uct includes but not limited
tobacco in any form (Tobacco prod
beed is, chew able tobacco like Gutkha,
to cigars, cigarettes,
60 months. (in sticks
flavored paan masala, etc.) in the past
/packets/ sachets/d ay or gms /day)

I Ill I What has been your usual state of health?

IV Family details
1 Have your parents/ spouse/ Partner/ children
and/or any of your
relations ever suffered from or died of
blood_press~re, diabetes mellitus,
heart disease, stroke, high
canc er, kidney disease or any
N
, Insa nity, or any cont agious diseases such as
hereditary disorders
etc.? If yes, please specify
tuberculosis ,hepatitis, AIDS I HIV
a. Nam e of the disease
b. Relationship with the life to be assured and
c. date I year of death

2 Family History
Living I Dead
I
6
 I
Aqe State of health Age at death Year/cause of death
Father
Mother
Brothers
~J.,
c~
C"o0 1.
r.. "11fLJ I
I
l
Living
Dead
Sisters 25 ~o9-Cl..
Living
Dead
Spouse
Children
Living
Dead

V For Female Proponents only

a Are you preqnant now?
b Date of last delivery
ge or Cesarean section? If so,
C Have you had any abortion or miscarria
give details
ist or undergone any investigation,
d Have you ever consulted a gynecolog
ent? (If yes, give details)
treatment for any ovnaec ailm
e Husb and' s details
Husband's full Name
His Occuoation
His Annual Income
f Details of Husband's Insurance Sum Plan & Present status of
Policy number Name of branch/ Division/ Name of the Assured Term the policy
er ( if other than UC) _ from where
insur
policy has been taken

to be assured
Signature/ thumb impression of the life

Section IV: Declaration

'
DECLARATION BY THE PROPOSER
proposed to be assured,
f~ a. v the person whose life is herein being understanding the
I M 0: h, ~ state ments and answers have been given by me after fully
do here by decla re that the foregoing
I have not withh eld any information and I do
complete in every particular and that ract of assurance
questions and the same are true and on shall be the basis of the cont
statements and this declarati t be contained therein the said
hereby agree and declare that these of India and that if any untrue avermen
Corp oration .
between me and the Life Insur ance Act, 1938 as amended from time to time
isions of Section 45 of the Insurance
contract shall be dealt with as per prov
being in force prohibiting any
of any law, usag e, custom or convention for the time ledge or
Not-withstand ing the prov ision bureau from divulging any know
and/or employer, reinsurer/ credit nds of
doctor, hospital ,diagnostic center insu rance , finan cial etc.o n the grou
on abou t me conc erning my health or employment , occupation,
informati
7
 t t d .
privacy, I , my heirs , executors admin·t'~ ra 0 ~ an assignees or any other person or persons, having interest of any
y ~ont
kind what soev er in the polic authority , having such knowledge or
inform ation shall at an tim r~c issue _to me, hereby agree that such the
1? ledge or information to the Corporation, and
Corp oratio ~ to divul et~ e be at liberty to vulge any such know cy/ and Gove rnme ntal/ Regulatory
tion I Agen
e same to any Au~~ons~d Organisation I
Institu
Auth orit fo th g ol and/or claim settlement.
of unde rwnti ng / _m~estigation / risk mitigation / fraud contr
A d f Yrth r e sole pu_rp ose
the propo sal but befor e the issue of Rrst Premium Receipt (i)
n
I u er_ agre e that if a~er the date of subm1ss1on of position or the general
my financ ial
adverse circumstances connected with
any chan ge in my occupation or any s or (ii) if a propo sal for assur ance or an application for
of my family occur
he~lth of mys~lf or that ~f any members dropp ed, defer red or accepted at an
office of the Corporation is withdrawn or
~ev,val of a poh~y on my hfe made to any as propo sed, l shall forthw ith intima te the same to the
or on terms other than
increased prem ium or subject to a lien omiss ion on my part to do so shall
terms of acceptance of assurance. Any
Corporation in writing to reconsider the on 45 of the Insur ance Act, 1938 as amended from time
provisions of Secti
render this contract to be dealt with as per
to time.
s such as residence. I also give
diately of any changes in KYC document
I undertake to inform the Corporation imme , SMS/ E mail from Central KYC
al KYC Registry and to receive phone calls
my consent to share my data with Centr
registry in this regard.
e or offer alternate terms on this
the right to accept /Postpone/ drop/ declin
I understand that the Corporation reserves
proposal for life insurance .
_register~~ num ~r/ E mail
e calls, SMS/E mail on the below mentioned
I hereby give my consent to receive phon life insura nce policy /rega rding servicing of insurance
with respect to my
address from / on behalf of the Corporation
notifying about the status of Claim etc
policies/enhancing insurance awareness/
duties/ charges in accordance
fits under the policy are subject to taxes I
I also understand that the premium and bene
with the laws as applicable from time to time.
_ _ _ day of _ _ _ _ 20
Dated at _ _ _ _ _ _ _ _ _ on the

to be assured
Signature or Thumb impression of the life
Signature of Witness

Namet-1~~~

Occupation s~ ~~
Ad dre ss~ --- ---
age differ ent from that of the
(In case form is filled up/signed in a langu not able to fill the propo sal
1. Declaration by the person filling in the form ility (PWD ) where he/sh e is
person with disab
Proposal Form or in case the proposer is
form himself/ herself.)

truthfu lly recorded the answers given

"I hereby declare that I have fully explained
the above questions to the proposer and I have contents
has affixed the thumb impre ssion/ signature as below after fully understanding the
by the proposer and proposer
thereof."

Name of the Declarant: ~ r~ Signature: _ _dJL-=-==-:"_:~~~-•ho_

Address of the Declarant:- - - - - -

patio n)~
fully explained to me by {Name, Designation, occu
.. , certify that the contents of the form have been
Ms.: M.o ~J. ,. J ~ u , ) /
.
~ assured
Signature or Thumb impression of the life to be
a person of standing whose identity
thumb Impression should be attested by
2.ln case the Proposer Is Illiterate, his/her
should be made by him.
with the Corporation and this declaration
can easily be established, but lM'lCOnnected

L
 the proposer in
contents of the proposal form to
declare that I have fully explained the above questions and
"I hereby erstanding the contents
oser has affixed the thumb impression above after fully und
~b language, and that the prop
thereof."

Signature: -=-===:::::::::z=_ __
~
Name of the Declarant:
.=:=---=--~
c........:....;:...c
_....,,.;:_-.3C.:

Address of the Declarant: - - - - - - - - -

NCE ACT, 1938

SECTION 45 OF THE INSURA tsoever afte r the expiry of th~ee
years
of life insu ranc e sha ll be calle d in question on any ground wha com men cem ent of nsk or the
(1) No poli cy anc e of the policy or the date of
i.e., from the date of issu .
from the date of the policy, hever is later.
date of the rider to the policy, whic anc e _of the
date of revival of the policy or the in que stion at any time with in three years from the dat~ of issu
be calle d r to the policy,
(2)A policy of life insurance may or the date of revival of the policy or
the date of the nde
of com men cem ent of risk . .
policy or the date
er is late r, on the grou nd of frau d: or the lega l repr ese ntat ives or nom inee s
whichev insured
e to communicate in writing to the .
Provided that the insurer shall hav eria ls on whic h such decision is based.
.
es of the insu red the grou nds and the mat
ns any of the follo win g acts com mitt ed
or assi gne ''fraud" mea
of this sub section, the expression e a life insu ranc e
Explanation I - For the purpose nt to dec eive the insu rer or to induce the insurer to issu
red or by his age nt, with the inte
by the insu •
believe to be true ;
poli cy:
a fact of that whic h is not true and which the insured does not
(a) The sug ges tion , as ge or beli ef of the fact ;
fact by the insured having knowled
(b) The active concealment of a
; and
(c) Any other act fitted to deceive nt.
the law spe~ially declares to be fraudule unle ss
(d) Any such act or omi ssio n as
ess men t of the risk by the insu rer is not frau d,
lana tion II - Mer e silen ce as to facts likely to affect the ass the duty of the insu red or his age nt,
Exp , it is
such that regard being had to them
the circumstances of the case are ce is, in itsel f, equ ivalent to speak.
ss his silen e a life insurance poli cy on the
keeping silence to speak, or unle tion (2), no insurer shall repudiat
cont aine d in sub -sec true to the bes t
(3) Notwithstanding anyt hing
the mis- stat eme nt of or suppression of a material fact was of
ground of fraud if the insured can
prov e that fact or that suc h mis -sta tem ent
belie f or that ther e was no deli berate intension to suppress the
of his knowledge and within the knowledge of the insu
rer:
or suppression of a material fact are poli cyh olde r is
the onu s of disp rovi ng lies upo n the beneficiaries, in cas e the
. Provided that in case of frau d, .
not alive. med for the pur pos e of the
who solic its and neg otia tes a contract of insurance shall be dee
Expla~ation: A person nt of the insurer.
formation of the contract, to be age any time within three years from
the date of issu anc e of the
calle d in que stio n at r
(4) _A policy of life insuranc e may be or the date of the ride r to th
or the date of revival of the policy
pol_icy or th_e date of com
~!"t,:!:
men
:i~~'o~~i
cem
; ~~:::~:0; ~~:
ent of risk
ect anc tt,~~ Ziif e of
;z•7::::,;_~:!~~~~r~i,r~~~~ \~~ ~~: j:~: ~;1 ·clthotthhe expl'icy
e po was issu ed or
revived or nder issued: 'f ·
to communicate i
Provided that the insurer shall have nds and mat eria l;o~rr rn~ t~ the hrnsur~~ or the leg a~ repr esepoli nt~t ives or nom inee s
es of the insu red the grou dec Is I0n to repu diat e the cy of life insu ran ce
?r assi gne w ic sue
Is based: .
diation of the o/ic sion of a mat eria l
Provided further that in case of repu premiums coilect Yon the gro~nd ?f misstatement or sup pres
!act, and not on ground of frau d, the of repudiation sha ll be paid to the
lega l repr esen tativ es or nom inee ~ on the pol1c~ till the d~te with in a peri od of nine ty day s from the
insured or the
diati on. s or assignees of the insured
date of s~ch repu .
this sub-section h sha ll not be con side red
Exp/a~at1on - For the purposes of ~~!; t~t~~e~t of or suppression of fact
~~~~al_ unless a dire ct bea ring on the risk u~~ eert rer to sho w tha t
it has the onus. is on the insu
no life insurance pt,ic ye rns~drehr,ave been issu ed to the insu red
(5~ No~!ns~ rer ?9en a_wa re of
rn~ in this section shall prevent the
the said

~~~ g
fact
1,~:~~~m~ ~;rh~-:,:~;~;: :~1
in . wou

i~' :~~:~; ~~n ~c:

1
::s: ~~~ ~,~ ~~' lh1 :i ~he:;:ed~fI~ b:t ~~ i prop osa l.
J.~:it o do
on
so,
as incorrectly stated in the

NCE ACT, 193 8

SECTION 41 OF THE INS URA